Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Geer Nursing And Rehabilitation during CMS and state inspections, most recent first.
The facility did not ensure that staff education and competencies for IV therapy were completed and current. The DNS confirmed that licensed staff lacked certification in IV therapy, and there was no record of recent competency evaluations. The facility's assessment tool, which should include staff training and competencies, was not updated as required.
The facility failed to maintain proper refrigerator temperatures for medication storage in two medication rooms, with temperatures frequently falling below the required range. Medications, including insulin and influenza vaccines, were stored improperly, and some were expired. Staff interviews revealed a lack of adherence to the facility's policy for temperature monitoring and expired medication disposal.
The facility failed to administer pneumococcal vaccines to three residents after obtaining consent, citing inconsistent vaccine availability. Despite having alternative options, such as community pharmacy services, these were not utilized. The residents were only scheduled to receive the vaccines after surveyor inquiry.
The facility failed to develop individualized care plans and ensure proper medication administration for residents, leading to deficiencies. A resident with dementia did not have their condition addressed in their care plan, while another with CHF was not weighed daily as ordered. Medication administration errors occurred due to system integration issues, and a resident with dysphagia experienced a choking incident due to inadequate diet instructions.
A facility failed to conduct a timely Resident Care Conference for a resident with dementia and did not revise the care plan for another resident receiving End of Life Services to include their wishes for comfort food. The social worker was unaware of the need for a timely RCC, and the care plan for the resident in hospice was not updated to reflect their preference for non-prescribed food consistency.
A resident with dysphagia and other conditions was discharged with strict aspiration precautions, which were not transcribed into the facility's orders. The resident chose a more palatable diet, increasing aspiration risk, and later choked on fruit, requiring the Heimlich Maneuver. Staff had inconsistent interpretations of supervision, and the resident was observed eating alone, highlighting a deficiency in care.
A facility failed to conduct weekly skin assessments for a resident with a Stage 2 pressure ulcer and Alzheimer's disease, as required by a physician's order. The resident was identified as severely cognitively impaired and at risk for pressure ulcers. Despite the facility's policy mandating weekly skin checks, documentation was missing for specific dates, and a pressure ulcer was later identified on the resident's right buttocks.
A resident with dysphagia and on hospice care was not adequately supervised during meals, leading to a choking incident. Despite physician orders for supervision, staff inconsistently monitored the resident, leaving them alone with food and beverages within reach. The facility's policy did not clearly define supervision requirements, resulting in staff confusion and inadequate training.
Failure to Ensure Staff Competency in IV Therapy
Penalty
Summary
The facility failed to ensure that staff education and competencies for the provision of Intravenous Therapy (IV) services were completed and up to date. During an interview and review of staff education records with the Director of Nursing Services (DNS), it was found that licensed staff were not certified in the implementation of IV therapy, and there was no record of when staff competencies were last evaluated. The DNS acknowledged responsibility for ensuring the completion of education and competencies, which were supposed to be conducted on an annual basis. Additionally, a review of the Facility Assessment Tool revealed that the facility assessment, which includes staff training, education, and competencies, is required to be updated at least annually or as needed.
Medication Storage and Temperature Monitoring Deficiencies
Penalty
Summary
The facility failed to maintain appropriate refrigerator temperatures for medication storage in two medication rooms, leading to potential compromise of medication efficacy. Observations revealed that the Harmany Lane medication room's refrigerator temperature was below the required 36 degrees on multiple occasions throughout August, while the Cardinal Court medication room's refrigerator was similarly below the required temperature for most of July and parts of August. Additionally, there were missing temperature logs for several days. The medications stored in these refrigerators included insulin, lorazepam, and influenza vaccines, some of which were expired. Interviews with staff indicated a lack of awareness and adherence to the facility's policy regarding temperature monitoring and reporting. The facility's policy required that refrigerator temperatures be maintained between 36-46 degrees, with any deviations reported to maintenance and the nursing supervisor. However, interviews with the Director of Maintenance and nursing staff revealed that no maintenance tickets were submitted, and the staff responsible for monitoring temperatures did not follow the protocol. Furthermore, expired medications were not promptly removed or disposed of according to the facility's procedures. The Director of Nursing Services confirmed that monthly audits were supposed to be conducted, but the deficiencies in temperature logging and expired medication disposal were not addressed, indicating a systemic failure in policy implementation and oversight.
Failure to Administer Pneumococcal Vaccines After Consent
Penalty
Summary
The facility failed to ensure pneumococcal vaccines were administered after obtaining consent for three residents. For Resident #4, consent was obtained to receive the Pneumovax vaccine, but there was no documented history of administration following consent. The Director of Nursing Services (DNS) noted that vaccine availability was inconsistent, and an alternate vaccination or community pharmacy services were not utilized. Resident #4 was scheduled to receive the vaccine only after surveyor inquiry. Similarly, for Resident #14, consent was obtained to receive the Pneumovax vaccine, but there was no documented administration. The DNS again cited inconsistent vaccine availability and the lack of use of alternative options. Resident #14 eventually received a different vaccine, Prevnar 20, months later. For Resident #71, consent was obtained for the Prevnar 20 vaccine, but it was not administered, with the DNS citing the same issues. Resident #71 was also scheduled to receive the vaccine after surveyor inquiry. The facility's policy directed that vaccines be administered according to best practice guidelines, but this was not adhered to in these cases.
Deficiencies in Care Planning and Medication Administration
Penalty
Summary
The facility failed to develop and implement individualized care plans for several residents, leading to deficiencies in care. For one resident with Parkinson's disease and dementia, the care plan did not address the dementia diagnosis or provide interventions to support individualized care needs. The Director of Nursing Services acknowledged that the care plan should have been tailored to reflect the resident's dementia diagnosis and care requirements. Another resident with chronic atrial fibrillation and congestive heart failure was not weighed daily as per physician orders, which is crucial for monitoring fluid overload. The weight log showed inconsistencies in daily weight recordings, and the Director of Nursing Services confirmed that weights should have been obtained according to the physician's orders. The facility did not provide a policy for monitoring weights for residents with congestive heart failure. Additionally, there were discrepancies in medication administration for two residents. One resident received medications at incorrect times due to a lack of integration between the pharmacy system and the facility's electronic medical record. Another resident's medication regimen for Parkinson's disease was not accurately followed, with several doses not administered as ordered. The Director of Nursing Services and other staff members were unable to provide reasons for these discrepancies, highlighting a lack of communication and documentation. Furthermore, a resident with dysphagia did not have their special diet instructions transcribed upon admission, leading to a choking incident. The facility's policy on aspiration precautions was not adequately followed, as staff did not remain present during the resident's meals.
Deficiencies in Timely Care Planning and End-of-Life Care Plan Revision
Penalty
Summary
The facility failed to conduct a Resident Care Conference (RCC) within the appropriate timeframe for a resident diagnosed with unspecified dementia, cognitive communication deficit, and aphasia. The resident was admitted and identified as cognitively impaired, requiring assistance with bed mobility and transfers. Despite the admission Minimum Data Set (MDS) assessment being completed, the facility did not hold an RCC or invite the resident's responsible party within the required period. Interviews revealed that the social worker was unaware that the RCC could have been completed based on the MDS assessment, leading to a delay in care planning. Additionally, the facility did not revise the care plan for a resident receiving End of Life Services to address their wishes to consume non-prescribed foods for comfort. The resident, diagnosed with pneumonitis, dysphagia, and a progressive neurodegenerative disorder, elected Hospice services. Despite the resident's expressed need to eat food in a preferred consistency, the care plan was not updated to reflect this choice. The Director of Nursing Services acknowledged the need to revise the care plan to ensure the resident's comfort and safety during eating.
Failure to Implement Aspiration Precautions
Penalty
Summary
The facility failed to ensure that a resident's discharge summary physician's orders for aspiration precautions were transcribed to meet professional standards of practice. The resident, who had diagnoses including pneumonitis, dysphagia, a progressive neurodegenerative disorder, and was under palliative care, was discharged from the hospital with instructions for strict aspiration precautions. However, these precautions were not transcribed into the admission orders, leading to a lack of proper implementation in the resident's care plan. The resident elected hospice services and chose a diet consistency that was more palatable but increased the risk of aspiration. Despite the resident's preference, the facility was responsible for ensuring that the aspiration precautions were followed. An incident occurred where the resident choked on a piece of fruit, requiring the Heimlich Maneuver. This incident highlighted the failure to provide adequate supervision and adherence to the prescribed dietary modifications and aspiration precautions. Observations and staff interviews revealed inconsistencies in the understanding and implementation of supervision requirements for the resident during meals. Staff members had differing interpretations of what supervision entailed, and the resident was observed eating alone without supervision, contrary to the updated care plan. The facility's failure to transcribe and implement the necessary precautions from the discharge summary contributed to the deficiency in care provided to the resident.
Failure to Conduct Weekly Skin Assessments for Resident with Pressure Ulcer
Penalty
Summary
The facility failed to ensure weekly skin assessments were completed for a resident diagnosed with a Stage 2 pressure ulcer and Alzheimer's disease. A physician's order dated 5/9/2024 required weekly skin checks for the resident, who was identified as severely cognitively impaired and at risk for pressure ulcers. However, the clinical record revealed that a Stage 2 pressure ulcer was identified on the resident's right buttocks on 8/16/2024. The unit manager confirmed that weekly skin checks were not documented on 7/10/2024 and 8/7/2024, and no documentation was found in the nurses' notes for those dates. The facility's policy mandates weekly total body skin checks by a licensed professional nurse, with results documented, which was not adhered to in this case.
Failure to Provide Adequate Supervision for Resident at Risk of Aspiration
Penalty
Summary
The facility failed to ensure adequate supervision for a resident at risk for aspiration while eating and drinking. The resident, who had diagnoses including pneumonitis, dysphagia, a progressive neurodegenerative disorder, and was under palliative care, was supposed to receive a puree texture diet with nectar thick liquids. However, the resident and family preferred a more palatable chopped texture diet, despite being informed of the risks. The resident was on hospice care and had a care plan that required supervision during meals, but staff did not consistently provide this supervision. An incident occurred where the resident choked on a piece of fruit and required the Heimlich Maneuver. Following this, physician orders were updated to require supervision with meals and aspiration precautions. Despite these orders, observations found the resident alone in their room with food and beverages within reach, and staff were not consistently present to supervise. Interviews with staff revealed a lack of understanding and consistency in implementing the required supervision, with some staff believing that checking in periodically was sufficient. The facility's policy on aspiration precautions did not clearly define the requirement for staff presence during meals, leading to confusion among staff. The Director of Nursing Services (DNS) acknowledged the need for staff to stay with the resident during meals but had not ensured all staff were adequately trained or aware of the supervision requirements. The facility was unable to produce a policy that clearly defined staff responsibilities for supervising residents during meals, contributing to the deficiency.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Canaan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Noble Horizons | 4.7 mi | ★★★★★ | 30 | 1 |
| Timberlyn Heights Nursing And Rehabilitation | 11.9 mi | ★★★★★ | 1 | 0 |
| Sharon Center For Health & Rehabilitation | 11.9 mi | ★★★★★ | 11 | 1 |
| Berkshire Rehabilitation & Skilled Care Center | 12.5 mi | ★★★★★ | 17 | 0 |
| Fairview Commons Nursing & Rehabilitation Center | 14 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.